One provider matched this enrollment ID.
Enrollment ID I20090202000372 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20090202000372Internal MedicineMA
Source: CMS PECOS public enrollment file.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 042297845MA· Issued by HCVM
- 69818MA· Issued by HVD PILGRIM HEALTH CARE
- 209212MA· Issued by TUFTS
- 0023384MA· Issued by NEIGHBORHOOD HLTH PLAN
- 042297845MA· Issued by TRICARE
- B1044501MA· Issued by CIGNA
- J22629MA· Issued by BCBS
- 042297845MA· Issued by UNITED HEALTH CARE
- 042297845MA· Issued by GREAT WEST HEALTH CARE
- 62140MA· Issued by FALLON
- 7889137MA· Issued by AETNA
- 042297845MA· Issued by PRIVATE HEALTHCARE SYSTEM
- 042297845MA· Issued by DOC FIRST
- 042297845MA· Issued by GIC UNICARE
Medicaid
- 0124036MA
Source: NPPES public registry.
ReferenceAbout Medicare Enrollment IDs
A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.